OMB No. 1545-0047Form 990
Return of Organization Exempt From Income Tax 2015Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Open to Public G Do not enter social security numbers on this form as it may be made public. Department of the Treasury
InspectionG Information about Form 990 and its instructions is at www.irs.gov/form990.Internal Revenue Service
A For the 2015 calendar year, or tax year beginning , 2015, and ending ,
Employer identification numberName of organizationC DCheck if applicable:B
Address change Doing business as
Number and street (or P.O. box if mail is not delivered to street address) Room/suite Telephone numberEName change
Initial return
City or town, state or province, country, and ZIP or foreign postal codeFinal return/terminated$Amended return Gross receiptsG
Is this a group return for subordinates?H(a)Name and address of principal officer:FApplication pending Yes No
H(b) Are all subordinates included? Yes NoIf ’No,’ attach a list. (see instructions)
H ( )Tax-exempt status 501(c)(3) 501(c) (insert no.) 4947(a)(1) or 527I
Group exemption number J Website: G H(c) G
GForm of organization: Corporation Trust Association Other Year of formation: State of legal domicile:K ML
Part I SummaryBriefly describe the organization’s mission or most significant activities:1
if the organization discontinued its operations or disposed of more than 25% of its net assets.Check this box G2
Number of voting members of the governing body (Part VI, line 1a)3 3
Number of independent voting members of the governing body (Part VI, line 1b)4 4
Total number of individuals employed in calendar year 2015 (Part V, line 2a)5 5
Total number of volunteers (estimate if necessary)6 6
Total unrelated business revenue from Part VIII, column (C), line 127a 7a
Net unrelated business taxable income from Form 990-T, line 34b 7b
Prior Year Current Year
Contributions and grants (Part VIII, line 1h)8
Program service revenue (Part VIII, line 2g)9
Investment income (Part VIII, column (A), lines 3, 4, and 7d)10
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)11
Total revenue ' add lines 8 through 11 (must equal Part VIII, column (A), line 12)12
Grants and similar amounts paid (Part IX, column (A), lines 1-3)13
Benefits paid to or for members (Part IX, column (A), line 4)14
Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10)15
Professional fundraising fees (Part IX, column (A), line 11e)16a
Total fundraising expenses (Part IX, column (D), line 25) Gb
Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e)17
Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25)18
Revenue less expenses. Subtract line 18 from line 1219
End of YearBeginning of Current YearTotal assets (Part X, line 16)20
Total liabilities (Part X, line 26)21
Net assets or fund balances. Subtract line 21 from line 2022
Part II Signature BlockUnder penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
A Signature of officer DateSignHere A
Type or print name and title.
Print/Type preparer’s name Preparer’s signature Date PTINCheck if
self-employedPaidGFirm’s namePreparerGUse Only Firm’s EIN GFirm’s address
Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) Yes No
TEEA0101 10/12/15 Form 990 (2015)BAA For Paperwork Reduction Act Notice, see the separate instructions.
Jul 1 Jun 30 2016
Independent Animal Rescue Inc.
c/o Alan Dow, PO Box 14232
Durham NC 27709
56-1951483
(919) 403-2221
Alan Dow PO Box 14232 Durham NC 27709
296,331.X
X
www.animalrescue.netX 1994 NC
Rescue & Provide Care for Abandoned & Abused Animals
10100
5000.0.
225,363. 253,000.46,435. 42,768.
853. 563.
272,651. 296,331.
12,311.
249,004. 293,067.
249,004. 293,067.
23,647. 3,264.
310,510. 314,890.29,979. 31,095.
280,531. 283,795.
11/10/16
Alan Dow President
Vivian Wan Vivian Wan 11/09/16 P00967748
Vivian Wan CPA, PA
2054 Kildaire Farm Road, Box 242 26-1444438
Cary NC 27518 (919) 308-7202X
Independent Animal Rescue, Inc. (IAR)assists abandoned and abused animals in the Raleigh-Durhamarea with veterinarian services, food and kennel care on a temporary basis until animals are adopted into a permanent home. IAR’s work force is made up entirely of volunteers.
Form 990 (2015) Page 2
Part III Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III
Briefly describe the organization’s mission:1
Did the organization undertake any significant program services during the year which were not listed on the prior2
Form 990 or 990-EZ? Yes No
If ’Yes,’ describe these new services on Schedule O.
Did the organization cease conducting, or make significant changes in how it conducts, any program services?3 Yes No
If ’Yes,’ describe these changes on Schedule O.
4 Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
$ $ $ including grants of ) (Revenue )(Code: ) (Expenses4 a
$ $ $ including grants of ) (Revenue )(Code: ) (Expenses4 b
$ $ $(Code: ) (Expenses including grants of ) (Revenue )4 c
Other program services. (Describe in Schedule O.)4 d
$ $ $(Expenses including grants of ) (Revenue )
Total program service expenses4 e G
Form 990 (2015)TEEA0102 10/12/15BAA
Independent Animal Rescue Inc. 56-1951483
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264,968. 396. 0.
264,968.
Rescue & Provide Care for Abandoned & Abused Animals
Independent Animal Rescue, Inc. (IAR)assists abandoned and abused animals in the Raleigh-Durham
See Form 990, Page 2, Part III, Line 1 (continued)
Approximately 1162 animals were rescued and placed in permanent
homes or foster care. Over 2,000 animals were aided through
the crisis response system & community outreach initiatives.
Provided behavioral training and medical care to all foster animals.
Provided spay/neuter to approximately 1,682 community animals to reduce pet overpopulation.
Form 990 (2015) Page 3
Part IV Checklist of Required SchedulesYes No
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If ’Yes,’ complete1Schedule A 1
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)?2 2
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates3for public office? If ’Yes,’ complete Schedule C, Part I 3
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election4in effect during the tax year? If ’Yes,’ complete Schedule C, Part II 4
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,5assessments, or similar amounts as defined in Revenue Procedure 98-19? If ’Yes,’ complete Schedule C, Part III 5
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right6to provide advice on the distribution or investment of amounts in such funds or accounts? If ’Yes,’ complete Schedule D,Part I 6
Did the organization receive or hold a conservation easement, including easements to preserve open space, the7environment, historic land areas, or historic structures? If ’Yes,’ complete Schedule D, Part II 7
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If ’Yes,’8complete Schedule D, Part III 8
Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian9for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiationservices? If ’Yes,’ complete Schedule D, Part IV 9
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments,10permanent endowments, or quasi-endowments? If ’Yes,’ complete Schedule D, Part V 10
If the organization’s answer to any of the following questions is ’Yes’, then complete Schedule D, Parts VI, VII, VIII, IX,11or X as applicable.
Did the organization report an amount for land, buildings and equipment in Part X, line 10? If ’Yes,’ complete ScheduleaD, Part VI 11a
Did the organization report an amount for investments ' other securities in Part X, line 12 that is 5% or more of its totalbassets reported in Part X, line 16? If ’Yes,’ complete Schedule D, Part VII 11b
Did the organization report an amount for investments ' program related in Part X, line 13 that is 5% or more of its totalcassets reported in Part X, line 16? If ’Yes,’ complete Schedule D, Part VIII 11c
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reporteddin Part X, line 16? If ’Yes,’ complete Schedule D, Part IX 11d
Did the organization report an amount for other liabilities in Part X, line 25? If ’Yes,’ complete Schedule D, Part Xe 11e
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addressesfthe organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If ’Yes,’ complete Schedule D, Part X 11 f
Did the organization obtain separate, independent audited financial statements for the tax year? If ’Yes,’ complete12aSchedule D, Parts XI, and XII 12a
Was the organization included in consolidated, independent audited financial statements for the tax year? If ’Yes,’ andbif the organization answered ’No’ to line 12a, then completing Schedule D, Parts XI and XII is optional 12b
Is the organization a school described in section 170(b)(1)(A)(ii)? If ’Yes,’ complete Schedule E13 13
Did the organization maintain an office, employees, or agents outside of the United States?14a 14a
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,bbusiness, investment, and program service activities outside the United States, or aggregate foreign investments valuedat $100,000 or more? If ’Yes,’ complete Schedule F, Parts I and IV 14b
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any 15foreign organization? If ’Yes,’ complete Schedule F, Parts II and IV 15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to16or for foreign individuals? If ’Yes,’ complete Schedule F, Parts III and IV 16
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX,17column (A), lines 6 and 11e? If ’Yes,’ complete Schedule G, Part I (see instructions) 17
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII,18lines 1c and 8a? If ’Yes,’ complete Schedule G, Part II 18
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If ’Yes,’19complete Schedule G, Part III 19
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Form 990 (2015) Page 4
Part IV Checklist of Required Schedules (continued)Yes No
20a20a Did the organization operate one or more hospital facilities? If ’Yes’, complete Schedule H
If ’Yes’ to line 20a, did the organization attach a copy of its audited financial statements to this return? 20bb
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or21domestic government on Part IX, column (A), line 1? If ’Yes,’ complete Schedule I, Parts I and II 21
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, 22column (A), line 2? If ’Yes,’ complete Schedule I, Parts I and III 22
Did the organization answer ’Yes’ to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current23and former officers, directors, trustees, key employees, and highest compensated employees? If ’Yes,’ completeSchedule J 23
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of24athe last day of the year, that was issued after December 31, 2002? If ’Yes,’ answer lines 24b through 24d andcomplete Schedule K. If ’No, ’go to line 25a 24a
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?b 24b
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defeasecany tax-exempt bonds? 24c
Did the organization act as an ’on behalf of’ issuer for bonds outstanding at any time during the year?d 24d
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit 25a25atransaction with a disqualified person during the year? If ’Yes,’ complete Schedule L, Part I
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, andbthat the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If ’Yes,’ completeSchedule L, Part I 25b
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or26former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?If ’Yes’, complete Schedule L, Part II 26
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial27contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member
27of any of these persons? If ’Yes,’ complete Schedule L, Part III
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV28instructions for applicable filing thresholds, conditions, and exceptions):
A current or former officer, director, trustee, or key employee? If ’Yes,’ complete Schedule L, Part IVa 28a
A family member of a current or former officer, director, trustee, or key employee? If ’Yes,’ completebSchedule L, Part IV 28b
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was ancofficer, director, trustee, or direct or indirect owner? If ’Yes,’ complete Schedule L, Part IV 28c
Did the organization receive more than $25,000 in non-cash contributions? If ’Yes,’ complete Schedule M29 29
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation30contributions? If ’Yes,’ complete Schedule M 30
Did the organization liquidate, terminate, or dissolve and cease operations? If ’Yes,’ complete Schedule N, Part I31 31
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If ’Yes,’ complete32Schedule N, Part II 32
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections33301.7701-2 and 301.7701-3? If ’Yes,’ complete Schedule R, Part I 33
Was the organization related to any tax-exempt or taxable entity? If ’Yes,’ complete Schedule R, Part II, III, or IV, 34and Part V, line 1 34
Did the organization have a controlled entity within the meaning of section 512(b)(13)?35a 35a
If ’Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled bentity within the meaning of section 512(b)(13)? If ’Yes,’ complete Schedule R, Part V, line 2 35b
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related3636organization? If ’Yes,’ complete Schedule R, Part V, line 2
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is37treated as a partnership for federal income tax purposes? If ’Yes,’ complete Schedule R, Part VI 37
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19?38Note. All Form 990 filers are required to complete Schedule O 38
Form 990 (2015)BAA
TEEA0104 10/12/15
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Form 990 (2015) Page 5
Part V Statements Regarding Other IRS Filings and Tax ComplianceCheck if Schedule O contains a response or note to any line in this Part V
Yes No
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable1 a 1 a
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicableb 1 b
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gamingc(gambling) winnings to prize winners? 1 c
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax State-2 aments, filed for the calendar year ending with or within the year covered by this return 2 a
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?b 2 b
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
Did the organization have unrelated business gross income of $1,000 or more during the year?3 a 3 a
If ’Yes’ has it filed a Form 990-T for this year? If ’No’ to line 3b, provide an explanation in Schedule Ob 3 b
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a4 afinancial account in a foreign country (such as a bank account, securities account, or other financial account)? 4 a
If ’Yes,’ enter the name of the foreign country: Gb
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts. (FBAR)
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?5 a 5 a
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?b 5 b
If ’Yes,’ to line 5a or 5b, did the organization file Form 8886-T?c 5 c
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization6 asolicit any contributions that were not tax deductible as charitable contributions? 6 a
If ’Yes,’ did the organization include with every solicitation an express statement that such contributions or gifts werebnot tax deductible? 6 b
7 Organizations that may receive deductible contributions under section 170(c).
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods andaservices provided to the payor? 7 a
If ’Yes,’ did the organization notify the donor of the value of the goods or services provided?b 7 b
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to filecForm 8282? 7 c
If ’Yes,’ indicate the number of Forms 8282 filed during the yeard 7 d
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? 7 ee
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?f 7 f
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899gas required? 7 g
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file ahForm 1098-C? 7 h
8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring
organization have excess business holdings at any time during the year? 8
9 Sponsoring organizations maintaining donor advised funds.
Did the sponsoring organization make any taxable distributions under section 4966?a 9 a
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?b 9 b
Section 501(c)(7) organizations. Enter:10
Initiation fees and capital contributions included on Part VIII, line 12a 10a
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilitiesb 10b
Section 501(c)(12) organizations. Enter:11
Gross income from members or shareholdersa 11a
Gross income from other sources (Do not net amounts due or paid to other sourcesbagainst amounts due or received from them.) 11b
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?12a 12a
If ’Yes,’ enter the amount of tax-exempt interest received or accrued during the yearb 12b
13 Section 501(c)(29) qualified nonprofit health insurance issuers.
Is the organization licensed to issue qualified health plans in more than one state? 13aa
Note. See the instructions for additional information the organization must report on Schedule O.
Enter the amount of reserves the organization is required to maintain by the states inbwhich the organization is licensed to issue qualified health plans 13b
Enter the amount of reserves on handc 13c
Did the organization receive any payments for indoor tanning services during the tax year?14a 14a
If ’Yes,’ has it filed a Form 720 to report these payments? If ’No,’ provide an explanation in Schedule Ob 14b
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Form 990 (2015) Page 6
Part VI Governance, Management, and Disclosure For each ’Yes’ response to lines 2 through 7b below, and for a ’No’ response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes inSchedule O. See instructions.Check if Schedule O contains a response or note to any line in this Part VI
Section A. Governing Body and ManagementYes No
Enter the number of voting members of the governing body at the end of the tax year1 a 1 aIf there are material differences in voting rights among membersof the governing body, or if the governing body delegated broadauthority to an executive committee or similar committee, explain in Schedule O.
Enter the number of voting members included in line 1a, above, who are independentb 1 b
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other2
officer, director, trustee, or key employee? 2
Did the organization delegate control over management duties customarily performed by or under the direct supervision3of officers, directors, or trustees, or key employees to a management company or other person? 3
Did the organization make any significant changes to its governing documents4
since the prior Form 990 was filed? 4
Did the organization become aware during the year of a significant diversion of the organization’s assets? 55
Did the organization have members or stockholders? 66
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more7 a
members of the governing body? 7 a
Are any governance decisions of the organization reserved to (or subject to approval by) members,bstockholders, or persons other than the governing body? 7 b
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by8the following:
The governing body? 8 aa
Each committee with authority to act on behalf of the governing body?b 8 b
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the9
organization’s mailing address? If ’Yes,’ provide the names and addresses in Schedule O 9
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)Yes No
Did the organization have local chapters, branches, or affiliates?10a 10a
If ’Yes,’ did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure theirboperations are consistent with the organization’s exempt purposes? 10b
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?11a 11a
Describe in Schedule O the process, if any, used by the organization to review this Form 990.b
Did the organization have a written conflict of interest policy? If ’No,’ go to line 13 12a12a
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give risebto conflicts? 12b
Did the organization regularly and consistently monitor and enforce compliance with the policy? If ’Yes,’ describe inc
Schedule O how this was done 12c
Did the organization have a written whistleblower policy? 1313
Did the organization have a written document retention and destruction policy?14 14
Did the process for determining compensation of the following persons include a review and approval by independent15
persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
The organization’s CEO, Executive Director, or top management officiala 15a
Other officers or key employees of the organizationb 15b
If ’Yes’ to line 15a or 15b, describe the process in Schedule O (see instructions).
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a16ataxable entity during the year? 16a
If ’Yes,’ did the organization follow a written policy or procedure requiring the organization to evaluate itsbparticipation in joint venture arrangements under applicable federal tax law, and take steps to safeguard theorganization’s exempt status with respect to such arrangements? 16b
Section C. DisclosureList the states with which a copy of this Form 990 is required to be filed G17
Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501(c)(3)s only) available 18for public inspection. Indicate how you made these available. Check all that apply.
Other (explain in Schedule O)Own website Another’s website Upon request
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to19 the public during the tax year.State the name, address, and telephone number of the person who possesses the organization’s books and records:20 G
TEEA0106 10/12/15 Form 990 (2015)BAA
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Alan Dow P. O. Box 14232, Durham, NC 27709 (919) 403-2221
Form 990 (2015) Page 7
Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, andIndependent Contractors
Check if Schedule O contains a response or note to any line in this Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1 a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
? List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount ofcompensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.
? List all of the organization’s current key employees, if any. See instructions for definition of ’key employee.’
? List the organization’s five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations.
? List all of the organization’s former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations.
? List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of theorganization, more than $10,000 of reportable compensation from the organization and any related organizations.
List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(C)
Position (do not check more (D) (E) (F)(A) (B) than one box, unless person
Name and Title Average Reportable Reportable Estimatedis both an officer and a hours compensation from compensation from amount of other director/trustee)per the organization related organizations compensation
week (W-2/1099-MISC) (W-2/1099-MISC) from the (list any organization
hours for and related related organizations
organiza-tions
belowdottedline)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
TEEA0107 10/12/15 Form 990 (2015)BAA
Independent Animal Rescue Inc. 56-1951483
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Alan Dow 30.00
President X X 0. 0. 0.
Debra Eveland 40.00
Vice President X X 0. 0. 0.
Miriam Markfield 5.00
Secretary X 0. 0. 0.
Shelly Baum 20.00
Treasurer X X 0. 0. 0.
Mary Dow 40.00
Director X 0. 0. 0.
Denise Heflin 30.00
Director X 0. 0. 0.
Elaine Bardes 30.00
Director X 0. 0. 0.
Amanda Crooks 25.00
Director X 0. 0. 0.
Hilary Cooper 20.00
Director X 0. 0. 0.
Jason Wakefield
Director 20.00 X 0. 0. 0.
Form 990 (2015) Page 8
Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)(B) (C)
Position(D) (E) (F)Average (do not check more than one (A)
hours box, unless person is both an Reportable Reportable EstimatedName and titleper officer and a director/trustee) compensation from compensation from amount of other
week the organization related organizations compensation(list any (W-2/1099-MISC) (W-2/1099-MISC) from the hours organization
for and related related organizationsorganiza- tions belowdotted
line)
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
(25)
GSub-total1 b
GTotal from continuation sheets to Part VII, Section Ac
GTotal (add lines 1b and 1c)d
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation2
from the organization G
Yes No
3 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee3on line 1a? If ’Yes,’ complete Schedule J for such individual
4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation fromthe organization and related organizations greater than $150,000? If ’Yes’ complete Schedule J for
4such individual
5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual5for services rendered to the organization? If ’Yes,’ complete Schedule J for such person
Section B. Independent Contractors1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of
compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A) (B) (C)Name and business address Description of services Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than2
G$100,000 of compensation from the organization
TEEA0108 10/12/15 Form 990 (2015)BAA
Independent Animal Rescue Inc. 56-1951483
0. 0. 0.
0. 0. 0.
X
X
X
Form 990 (2015) Page 9
Part VIII Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII
(A) (B) (C) (D)Total revenue Related or Unrelated Revenue
exempt business excluded from tax function revenue under sections revenue 512-514
Federated campaigns1 a 1 a
Membership duesb 1 b
Fundraising eventsc 1 c
Related organizationsd 1 d
Government grants (contributions)e 1 e
All other contributions, gifts, grants, andf similar amounts not included above 1 f
Noncash contributions included in lines 1a-1f:g $GTotal. Add lines 1a-1fh
Business Code
2 a
b
c
d
e
All other program service revenuef
GTotal. Add lines 2a-2fg
Investment income (including dividends, interest and3Gother similar amounts)
GIncome from investment of tax-exempt bond proceeds .4
GRoyalties5
(i) Real (ii) Personal
Gross rents6 a
Less: rental expensesb
Rental income or (loss)c
GNet rental income or (loss)d
(i) Securities (ii) OtherGross amount from sales of7 a assets other than inventoryLess: cost or other basisb and sales expensesGain or (loss)c
Net gain or (loss) Gd
Gross income from fundraising events8 a(not including .$of contributions reported on line 1c).
See Part IV, line 18 a
Less: direct expensesb b
GNet income or (loss) from fundraising eventsc
Gross income from gaming activities.9 aSee Part IV, line 19 a
Less: direct expensesb b
GNet income or (loss) from gaming activitiesc
Gross sales of inventory, less returns10aand allowances a
Less: cost of goods soldb b
GNet income or (loss) from sales of inventoryc
Miscellaneous Revenue Business Code
11a
b
c
All other revenued
GTotal. Add lines 11a-11de
GTotal revenue. See instructions12
TEEA0109 10/12/15 Form 990 (2015)BAA
Independent Animal Rescue Inc. 56-1951483
26,003.
69,352.
157,645.
253,000.
42,768.
563. 563. 0. 0.
69,352.
296,331. 43,331. 0. 0.
Animal Adoption Fee 812910 42,768. 42,768. 0. 0.
Form 990 (2015) Page 10
Part IX Statement of Functional ExpensesSection 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).
Check if Schedule O contains a response or note to any line in this Part IX
(D)(C)(A) (B)Do not include amounts reported on lines Total expenses FundraisingManagement and Program service 6b, 7b, 8b, 9b, and 10b of Part VIII. expensesgeneral expensesexpenses
Grants and other assistance to domestic1organizations and domestic governments.See Part IV, line 21
Grants and other assistance to domestic2individuals. See Part IV, line 22
Grants and other assistance to foreign3organizations, foreign governments, and for- eign individuals. See Part IV, lines 15 and 16
Benefits paid to or for members4
Compensation of current officers, directors,5trustees, and key employees
Compensation not included above, to6disqualified persons (as defined undersection 4958(f)(1)) and persons describedin section 4958(c)(3)(B)
Other salaries and wages7
Pension plan accruals and contributions8(include section 401(k) and 403(b) employer contributions)
Other employee benefits9
Payroll taxes10
Fees for services (non-employees):11
Managementa
Legalb
Accountingc
Lobbyingd
Professional fundraising services. See Part IV, line 17e
Investment management feesf
g Other. (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O.)Advertising and promotion12
Office expenses13
Information technology14
Royalties15
Occupancy16
Travel17
Payments of travel or entertainment18expenses for any federal, state, or localpublic officials
Conferences, conventions, and meetings19
Interest20
Payments to affiliates21
Depreciation, depletion, and amortization22
Insurance23
Other expenses. Itemize expenses not24covered above (List miscellaneous expensesin line 24e. If line 24e amount exceeds 10%of line 25, column (A) amount, list line 24eexpenses on Schedule O.)
a
b
c
d
All other expensese
25 Total functional expenses. Add lines 1 through 24eJoint costs. Complete this line only if26the organization reported in column (B)joint costs from a combined educationalcampaign and fundraising solicitation.
if followingCheck here G
SOP 98-2 (ASC 958-720)
BAA Form 990 (2015)TEEA0110 10/12/15
Independent Animal Rescue Inc. 56-1951483
5,403. 0. 5,403. 0.
226,296. 224,201. 2,095. 0.
310. 155. 155. 0.
1,818. 296. 1,226. 296.
1,311. 262. 787. 262.
8,382. 6,706. 838. 838.
1,940. 1,940. 0. 0.
67. 40. 27. 0.
293,067. 264,968. 15,788. 12,311.
Pet Food & Supplies 35,893. 31,093. 4,800. 0.
Miscellaneous 369. 0. 369. 0.
Special Events for Fundraising 10,915. 0. 0. 10,915.
Bank Charges 363. 275. 88. 0.
Form 990 (2015) Page 11
Part X Balance Sheet
Check if Schedule O contains a response or note to any line in this Part X
(A) (B)Beginning of year End of year
Cash ' non-interest-bearing1 1
Savings and temporary cash investments2 2
Pledges and grants receivable, net3 3
Accounts receivable, net4 4
Loans and other receivables from current and former officers, directors,5trustees, key employees, and highest compensated employees. Complete Part II of Schedule L 5
Loans and other receivables from other disqualified persons (as defined under 6section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees’ beneficiary organizations (see instructions). Complete Part II of Schedule L 6
Notes and loans receivable, net7 7
Inventories for sale or use8 8
Prepaid expenses and deferred charges9 9
Land, buildings, and equipment: cost or other basis.10aComplete Part VI of Schedule D 10a
Less: accumulated depreciationb 10b 10c
Investments ' publicly traded securities11 11
Investments ' other securities. See Part IV, line 1112 12
Investments ' program-related. See Part IV, line 1113 13
Intangible assets14 14
Other assets. See Part IV, line 1115 15
Total assets. Add lines 1 through 15 (must equal line 34)16 16
Accounts payable and accrued expenses17 17
Grants payable18 18
Deferred revenue19 19
Tax-exempt bond liabilities20 20
Escrow or custodial account liability. Complete Part IV of Schedule D21 21
Loans and other payables to current and former officers, directors, trustees, 22key employees, highest compensated employees, and disqualified persons.Complete Part II of Schedule L 22
Secured mortgages and notes payable to unrelated third parties23 23
Unsecured notes and loans payable to unrelated third parties24 24
Other liabilities (including federal income tax, payables to related third parties,25and other liabilities not included on lines 17-24). Complete Part X of Schedule D 25
Total liabilities. Add lines 17 through 2526 26
and complete Organizations that follow SFAS 117 (ASC 958), check here G
lines 27 through 29, and lines 33 and 34.
Unrestricted net assets27 27
Temporarily restricted net assets28 28
Permanently restricted net assets29 29
Organizations that do not follow SFAS 117 (ASC 958), check here G
and complete lines 30 through 34.
Capital stock or trust principal, or current funds30 30
Paid-in or capital surplus, or land, building, or equipment fund31 31
Retained earnings, endowment, accumulated income, or other funds32 32
Total net assets or fund balances33 33
Total liabilities and net assets/fund balances34 34
Form 990 (2015)BAA
TEEA0111 10/12/15
Independent Animal Rescue Inc. 56-1951483
274,695. 271,735.
5,761.
1,773. 2,311.
14,688.
8,932. 4,096. 5,756.
29,946. 29,327.
310,510. 314,890.29,979. 31,095.
29,979. 31,095.
X
280,531. 283,795.
280,531. 283,795.
310,510. 314,890.
Form 990 (2015) Page 12
Part XI Reconciliation of Net AssetsCheck if Schedule O contains a response or note to any line in this Part XI
Total revenue (must equal Part VIII, column (A), line 12)1 1
Total expenses (must equal Part IX, column (A), line 25)2 2
Revenue less expenses. Subtract line 2 from line 13 3
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))4 4
Net unrealized gains (losses) on investments5 5
Donated services and use of facilities6 6
Investment expenses7 7
Prior period adjustments8 8
Other changes in net assets or fund balances (explain in Schedule O)9 9
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33,10column (B)) 10
Part XII Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII
Yes No
Accounting method used to prepare the Form 990: Cash Accrual Other1
If the organization changed its method of accounting from a prior year or checked ’Other,’ explain in Schedule O.
Were the organization’s financial statements compiled or reviewed by an independent accountant?2 a 2 a
If ’Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
Separate basis Consolidated basis Both consolidated and separate basis
Were the organization’s financial statements audited by an independent accountant?b 2 b
If ’Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
Separate basis Consolidated basis Both consolidated and separate basis
c If ’Yes’ to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit,review, or compilation of its financial statements and selection of an independent accountant? 2 c
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single3 aAudit Act and OMB Circular A-133? 3 a
If ’Yes,’ did the organization undergo the required audit or audits? If the organization did not undergo the required auditb
or audits, explain why in Schedule O and describe any steps taken to undergo such audits 3 b
Form 990 (2015)BAA
TEEA0112 10/20/15
Independent Animal Rescue Inc. 56-1951483
296,331.
293,067.
3,264.
280,531.
283,795.
X
X
X
X
X
X
OMB No. 1545-0047Public Charity Status and Public SupportSCHEDULE A
Complete if the organization is a section 501(c)(3) organization or a section 2015(Form 990 or 990-EZ)4947(a)(1) nonexempt charitable trust.
G Attach to Form 990 or Form 990-EZ.Open to Public
G Information about Schedule A (Form 990 or 990-EZ) and its instructions is Department of the Treasury InspectionInternal Revenue Service at www.irs.gov/form990.
Name of the organization Employer identification number
Reason for Public Charity Status (All organizations must complete this part.) See instructions.Part IThe organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).1
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)2
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).3
A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital’s4
name, city, and state:
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section5170(b)(1)(A)(iv). (Complete Part II.)
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).6
7 An organization that normally receives a substantial part of its support from a governmental unit or from the general public describedin section 170(b)(1)(A)(vi). (Complete Part II.)
A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)8
An organization that normally receives: (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts 9from activities related to its exempt functions ' subject to certain exceptions, and (2) no more than 33-1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
An organization organized and operated exclusively to test for public safety. See section 509(a)(4).10
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one 11or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.
a Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supportedorganization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control orbmanagement of the supporting organization vested in the same persons that control or manage the supported organization(s). Youmust complete Part IV, Sections A and C.
Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supportedcorganization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not dfunctionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.
Enter the number of supported organizationsf
Provide the following information about the supported organization(s).g
(v) Amount of monetary (vi) Amount of other(ii) EIN(i) Name of supported (iv) Is the(iii) Type of organizationorganization organization listed support (see instructions) support (see instructions)(described on lines 1-9
in your governingabove (see instructions))
document?
Yes No
(A)
(B)
(C)
(D)
(E)
Total
Schedule A (Form 990 or 990-EZ) 2015BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
TEEA0401 10/12/15
Independent Animal Rescue Inc. 56-1951483
X
Schedule A (Form 990 or 990-EZ) 2015 Page 2
Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If theorganization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Totalbeginning in) G
Gifts, grants, contributions, and1 membership fees received. (Do notinclude any ’unusual grants.’)Tax revenues levied for the2organization’s benefit andeither paid to or expendedon its behalf
The value of services or3facilities furnished by agovernmental unit to theorganization without charge
Total. Add lines 1 through 34
The portion of total5contributions by each person(other than a governmentalunit or publicly supportedorganization) included on line 1that exceeds 2% of the amountshown on line 11, column (f)
Public support. Subtract line 56from line 4
Section B. Total Support
Calendar year (or fiscal year (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Totalbeginning in) G
Amounts from line 47
Gross income from interest,8dividends, payments receivedon securities loans, rents,royalties and income fromsimilar sources
Net income from unrelated9business activities, whether ornot the business is regularlycarried on
Other income. Do not include10gain or loss from the sale ofcapital assets (Explain inPart VI.)
Total support. Add lines 711through 10
Gross receipts from related activities, etc. (see instructions)12 12
First five years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3)13organization, check this box and stop here
Section C. Computation of Public Support Percentage
Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f))14 14 %
Public support percentage from 2014 Schedule A, Part II, line 14 %15 15
16a 33-1/3% support test ' 2015. If the organization did not check the box on line 13, and line 14 is 33-1/3% or more, check this boxand stop here. The organization qualifies as a publicly supported organization
b 33-1/3% support test ' 2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33-1/3% or more, check this boxand stop here. The organization qualifies as a publicly supported organization
17a 10%-facts-and-circumstances test ' 2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10%or more, and if the organization meets the ’facts-and-circumstances’ test, check this box and stop here. Explain in Part VI howthe organization meets the ’facts-and-circumstances’ test. The organization qualifies as a publicly supported organization
b 10%-facts-and-circumstances test ' 2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10%or more, and if the organization meets the ’facts-and-circumstances’ test, check this box and stop here. Explain in Part VI how theorganization meets the ’facts-and-circumstances’ test. The organization qualifies as a publicly supported organization
18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions
BAA Schedule A (Form 990 or 990-EZ) 2015
TEEA0402 10/12/15
Independent Animal Rescue Inc. 56-1951483
1,127,287.
1,127,287.
1,127,287.
1,127,287.
2,696.
1,129,983.
99.76
99.77
X
144,624. 229,257. 232,275. 225,363. 295,768.
144,624. 229,257. 232,275. 225,363. 295,768.
144,624. 229,257. 232,275. 225,363. 295,768.
0. 645. 635. 853. 563.
Schedule A (Form 990 or 990-EZ) 2015 Page 3
Part III Support Schedule for Organizations Described in Section 509(a)(2)(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails
to qualify under the tests listed below, please complete Part II.)
Section A. Public Support(c) 2013Calendar year (or fiscal year beginning in) G (a) 2011 (b) 2012 (d) 2014 (e) 2015 (f) Total
Gifts, grants, contributions1and membership feesreceived. (Do not includeany ’unusual grants.’)
Gross receipts from admis-2sions, merchandise sold orservices performed, or facilitiesfurnished in any activity that isrelated to the organization’stax-exempt purpose
Gross receipts from activities3that are not an unrelated tradeor business under section 513 .
Tax revenues levied for the4organization’s benefit andeither paid to or expended onits behalfThe value of services or5facilities furnished by agovernmental unit to theorganization without charge
Total. Add lines 1 through 56
Amounts included on lines 1,7 a2, and 3 received fromdisqualified persons
Amounts included on lines 2band 3 received from other thandisqualified persons thatexceed the greater of $5,000 or1% of the amount on line 13for the year
Add lines 7a and 7bc
Public support. (Subtract line87c from line 6.)
Section B. Total Support(c) 2013(a) 2011 (b) 2012 (d) 2014 (e) 2015 (f) TotalCalendar year (or fiscal year beginning in) G
Amounts from line 69
Gross income from interest, dividends, 10a payments received on securities loans, rents, royalties and income fromsimilar sourcesUnrelated business taxablebincome (less section 511taxes) from businessesacquired after June 30, 1975
Add lines 10a and 10bc
Net income from unrelated business11 activities not included in line 10b,whether or not the business isregularly carried onOther income. Do not include12gain or loss from the sale ofcapital assets (Explain inPart VI.)
13 Total support. (Add Iines 9,10c, 11, and 12.)
First five years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3)14organization, check this box and stop here
Section C. Computation of Public Support Percentage%Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f))15 15
%Public support percentage from 2014 Schedule A, Part III, line 1516 16
Section D. Computation of Investment Income Percentage%Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f))17 17
%Investment income percentage from 2014 Schedule A, Part III, line 1718 18
19a 33-1/3% support tests ' 2015. If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
b 33-1/3% support tests ' 2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33-1/3%, andline 18 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
TEEA0403 10/12/15 Schedule A (Form 990 or 990-EZ) 2015BAA
Independent Animal Rescue Inc. 56-1951483
Schedule A (Form 990 or 990-EZ) 2015 Page 4
Part IV Supporting Organizations(Complete only if you checked a box in line 11 on Part I. If you checked 11a of Part I, complete SectionsA and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes No
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?1If ’No,’ describe in Part VI how the supported organizations are designated. If designated by class or purpose, describethe designation. If historic and continuing relationship, explain 1
Did the organization have any supported organization that does not have an IRS determination of status under section2509(a)(1) or (2)? If ’Yes,’ explain in Part VI how the organization determined that the supported organization wasdescribed in section 509(a)(1) or (2) 2
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If ’Yes,’ answer (b)a3and (c) below a3
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) andbsatisfied the public support tests under section 509(a)(2)? If ’Yes,’ describe in Part VI when and how the organizationmade the determination b3
c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If ’Yes,’ explain in Part VI what controls the organization put in place to ensure such use c3
Was any supported organization not organized in the United States (’foreign supported organization’)? If ’Yes’ and4 aif you checked 11a or 11b in Part I, answer (b) and (c) below 4a
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported borganization? If ’Yes,’ describe in Part VI how the organization had such control and discretion despite being controlledor supervised by or in connection with its supported organizations b4
Did the organization support any foreign supported organization that does not have an IRS determination under csections 501(c)(3) and 509(a)(1) or (2)? If ’Yes,’ explain in Part VI what controls the organization used to ensure thatall support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes 4c
Did the organization add, substitute, or remove any supported organizations during the tax year? If ’Yes,’ answer (b)5 aand (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supportedorganizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under theorganization’s organizing document authorizing such action; and (iv) how the action was accomplished (such as by
5aamendment to the organizing document)
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in theborganization’s organizing document? 5b
Substitutions only. Was the substitution the result of an event beyond the organization’s control?c c5
6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of
6the filing organization’s supported organizations? If ’Yes,’ provide detail in Part VI
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor7(defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity withregard to a substantial contributor? If ’Yes,’ complete Part I of Schedule L (Form 990 or 990-EZ) 7
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If ’Yes,’8complete Part I of Schedule L (Form 990 or 990-EZ) 8
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons 9 aas defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))?If ’Yes,’ provide detail in Part VI 9a
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which thebsupporting organization had an interest? If ’Yes,’ provide detail in Part VI b9
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from,cassets in which the supporting organization also had an interest? If ’Yes,’ provide detail in Part VI c9
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding10acertain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If ’Yes,’answer 10b below 10a
Did the organization, have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determinebwhether the organization had excess business holdings.) b10
TEEA0404 10/12/15 Schedule A (Form 990 or 990-EZ) 2015BAA
Independent Animal Rescue Inc. 56-1951483
Schedule A (Form 990 or 990-EZ) 2015 Page 5
Part IV Supporting Organizations (continued)
Yes No
Has the organization accepted a gift or contribution from any of the following persons?11
a A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, thegoverning body of a supported organization? 11a
A family member of a person described in (a) above?b b11
c 11cA 35% controlled entity of a person described in (a) or (b) above? If ’Yes’ to a, b, or c, provide detail in Part VI
Section B. Type I Supporting Organizations
Yes No
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint1or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If ’No,’ describe inPart VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities.If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any,
1applied to such powers during the tax year
2 Did the organization operate for the benefit of any supported organization other than the supported organization(s)that operated, supervised, or controlled the supporting organization? If ’Yes,’ explain in Part VI how providing suchbenefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the
2supporting organization
Section C. Type II Supporting Organizations
Yes No
1 Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trusteesof each of the organization’s supported organization(s)? If ’No,’ describe in Part VI how control or management of the
1supporting organization was vested in the same persons that controlled or managed the supported organization(s)
Section D. All Type III Supporting Organizations
Yes No
1 Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior taxyear, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the
1organization’s governing documents in effect on the date of notification, to the extent not previously provided?
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported 2organization(s) or (ii) serving on the governing body of a supported organization? If ’No,’ explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s) 2
3 By reason of the relationship described in (2), did the organization’s supported organizations have a significantvoice in the organization’s investment policies and in directing the use of the organization’s income or assets atall times during the tax year? If ’Yes,’ describe in Part VI the role the organization’s supported organizations played
3in this regard
Section E. Type III Functionally-Integrated Supporting Organizations
1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
The organization satisfied the Activities Test. Complete line 2 below.a
The organization is the parent of each of its supported organizations. Complete line 3 below.b
The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions).c
2 Activities Test. Answer (a) and (b) below. Yes No
a Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of thesupported organization(s) to which the organization was responsive? If ’Yes,’ then in Part VI identify those supportedorganizations and explain how these activities directly furthered their exempt purposes, how the organization wasresponsive to those supported organizations, and how the organization determined that these activities constituted
a2substantially all of its activities
b Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If ’Yes,’ explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the
b2organization’s involvement
Parent of Supported Organizations. Answer (a) and (b) below.3
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees ofaeach of the supported organizations? Provide details in Part VI a3
Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of itsbsupported organizations? If ’Yes,’ describe in Part VI the role played by the organization in this regard 3b
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Independent Animal Rescue Inc. 56-1951483
Schedule A (Form 990 or 990-EZ) 2015 Page 6
Part V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1 Check here if the organization satisfied the Integral Part Test as a qualifying trust on November 20, 1970. See instructions. Allother Type III non-functionally integrated supporting organizations must complete Sections A through E.
(B) Current Year(A) Prior YearSection A ' Adjusted Net Income (optional)
1 1Net short-term capital gain
2 2Recoveries of prior-year distributions
3 3Other gross income (see instructions)
4 4Add lines 1 through 3
5 5Depreciation and depletion
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for
6production of income (see instructions)
7 7Other expenses (see instructions)
8 8Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)
(B) Current Year(A) Prior YearSection B ' Minimum Asset Amount (optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for shorttax year or assets held for part of year):
aa 1Average monthly value of securities
bb 1Average monthly cash balances
c Fair market value of other non-exempt-use assets c1
d d1Total (add lines 1a, 1b, and 1c)
e Discount claimed for blockage or other factors (explain in detail in Part VI):
2 2Acquisition indebtedness applicable to non-exempt-use assets
3 3Subtract line 2 from line 1d
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount,4see instructions)
5 5Net value of non-exempt-use assets (subtract line 4 from line 3)
6 6Multiply line 5 by .035
7 7Recoveries of prior-year distributions
8 8Minimum Asset Amount (add line 7 to line 6)
Current YearSection C ' Distributable Amount
1 1Adjusted net income for prior year (from Section A, line 8, Column A)
2 2Enter 85% of line 1
3 3Minimum asset amount for prior year (from Section B, line 8, Column A)
4 4Enter greater of line 2 or line 3
5 5Income tax imposed in prior year
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency6temporary reduction (see instructions)
7 Check here if the current year is the organization’s first as a non-functionally-integrated Type III supporting organization(see instructions).
BAA Schedule A (Form 990 or 990-EZ) 2015
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Independent Animal Rescue Inc. 56-1951483
Schedule A (Form 990 or 990-EZ) 2015 Page 7
Part V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Current YearSection D ' Distributions
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations,in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7 Total annual distributions. Add lines 1 through 6
8 Distributions to attentive supported organizations to which the organization is responsive (provide detailsin Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount
(i) (ii) (iii)Excess Underdistributions DistributableSection E ' Distribution Allocations (see instructions)
Distributions Pre-2015 Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonablecause required ' see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013
e From 2014
f Total of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f
4 Distributions for 2015 from Section D,
line 7: $a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
Remainder. Subtract lines 4a and 4b from 4c
5 Remaining underdistributions for years prior to 2015, if any.
Subtract lines 3g and 4a from line 2 (if amount greater thanzero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4bfrom line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c
8 Breakdown of line 7:
a
b
c Excess from 2013
d Excess from 2014
e Excess from 2015
Schedule A (Form 990 or 990-EZ) 2015BAA
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Independent Animal Rescue Inc. 56-1951483
Schedule A (Form 990 or 990-EZ) 2015 Page 8
Part VI Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b;Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1;Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V,Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information.(See instructions.)
Schedule A (Form 990 or 990-EZ) 2015BAA TEEA0408 10/12/15
Independent Animal Rescue Inc. 56-1951483
OMB No. 1545-0047Supplemental Financial StatementsSCHEDULE D
(Form 990) G Complete if the organization answered ’Yes’ on Form 990, 2015Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
G Attach to Form 990. Open to Public Department of the Treasury G Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
Internal Revenue Service InspectionName of the organization Employer identification number
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.Part IComplete if the organization answered ’Yes’ on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
Total number at end of year1
Aggregate value of contributions to (during year)2
Aggregate value of grants from (during year)3
Aggregate value at end of year4
5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds Yes Noare the organization’s property, subject to the organization’s exclusive legal control?
6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used onlyfor charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring
Yes Noimpermissible private benefit?
Part II Conservation Easements.Complete if the organization answered ’Yes’ on Form 990, Part IV, line 7.
Purpose(s) of conservation easements held by the organization (check all that apply).1
Preservation of land for public use (e.g., recreation or education) Preservation of a historically important land area
Protection of natural habitat Preservation of a certified historic structure
Preservation of open space
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Tax Year
Total number of conservation easementsa 2 a
Total acreage restricted by conservation easementsb 2 b
Number of conservation easements on a certified historic structure included in (a)c 2 c
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic 2 dstructure listed in the National Register
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the3
tax year G
4 Number of states where property subject to conservation easement is located G
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations,5Yes Noand enforcement of the conservation easements it holds?
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year6G
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year7G$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) Yes Noand section 170(h)(4)(B)(ii)?
9 In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the organization’s accounting for conservation easements.
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Part IIIComplete if the organization answered ’Yes’ on Form 990, Part IV, line 8.
1 a If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
$Revenue included on Form 990, Part VIII, line 1(i)
$Assets included in Form 990, Part X(ii)
2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
$Revenue included on Form 990, Part VIII, line 1a
$Assets included in Form 990, Part Xb
TEEA3301 06/03/15 Schedule D (Form 990) 2015BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Independent Animal Rescue Inc. 56-1951483
Schedule D (Form 990) 2015 Page 2
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)Part III
3 Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
Public exhibition Loan or exchange programsa d
Scholarly research Otherb e
Preservation for future generationsc
4 Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in Part XIII.
5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets Yes Noto be sold to raise funds rather than to be maintained as part of the organization’s collection?
Escrow and Custodial Arrangements. Complete if the organization answered ’Yes’ on Form 990, Part IV,Part IVline 9, or reported an amount on Form 990, Part X, line 21.
1 a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included Yes Noon Form 990, Part X?
If ’Yes,’ explain the arrangement in Part XIII and complete the following table:b
Amount
Beginning balancec 1 c
Additions during the year 1 dd
Distributions during the yeare 1 e
Ending balancef 1 f
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?2 a Yes No
If ’Yes,’ explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIIIb
Part V Endowment Funds. Complete if the organization answered ’Yes’ on Form 990, Part IV, line 10.(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
Beginning of year balance1 a
Contributionsb
c Net investment earnings, gains, and losses
Grants or scholarshipsd
e Other expenditures for facilities and programs
Administrative expensesf
End of year balanceg
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:2
%Board designated or quasi-endowment Ga
%Permanent endowment Gb
%Temporarily restricted endowment Gc
The percentages on lines 2a, 2b, and 2c should equal 100%.
3 a Are there endowment funds not in the possession of the organization that are held and administered for the Yes Noorganization by:
unrelated organizations 3a(i)(i)
related organizations(ii) 3a(ii)
If ’Yes’ on line 3a(ii), are the related organizations listed as required on Schedule R?b 3b
Describe in Part XIII the intended uses of the organization’s endowment funds.4
Part VI Land, Buildings, and Equipment.
Complete if the organization answered ’Yes’ on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (d) Book value(a) Cost or other basis (b) Cost or other (c) Accumulated(investment) basis (other) depreciation
Land1 a
Buildingsb
Leasehold improvementsc
Equipmentd
Othere
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10c.)
Schedule D (Form 990) 2015BAA
TEEA3302 10/12/15
Independent Animal Rescue Inc. 56-1951483
11,793. 7,709. 4,084.
2,895. 1,223. 1,672.
5,756.
Schedule D (Form 990) 2015 Page 3
Part VII Investments ' Other Securities.Complete if the organization answered ’Yes’ on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(b) Book value(a) Description of security or category (including name of security) (c) Method of valuation: Cost or end-of-year market value(1) Financial derivatives
(2) Closely-held equity interests
(3) Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, column (B) line 12.)Investments ' Program Related. Part VIIIComplete if the organization answered ’Yes’ on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.(a) Description of investment (b) Book value (c) Method of valuation: Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, column (B) line 13.)Other Assets. Part IXComplete if the organization answered ’Yes’ on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, column (B) line 15.)
Part X Other Liabilities. Complete if the organization answered ’Yes’ on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25(a) Description of liability (b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
Total. (Column (b) must equal Form 990, Part X, column (B) line 25.)2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization’s financial statements that reports the organization’s liability for uncertaintax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
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Independent Animal Rescue Inc. 56-1951483
Schedule D (Form 990) 2015 Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return.
Complete if the organization answered ’Yes’ on Form 990, Part IV, line 12a.
Total revenue, gains, and other support per audited financial statements1 1
Amounts included on line 1 but not on Form 990, Part VIII, line 12:2
Net unrealized gains (losses) on investmentsa 2 a
b Donated services and use of facilities 2 b
Recoveries of prior year grantsc 2 c
d Other (Describe in Part XIII.) 2 d
Add lines 2a through 2de 2 e
Subtract line 2e from line 13 3
Amounts included on Form 990, Part VIII, line 12, but not on line 1:4
Investment expenses not included on Form 990, Part VIII, line 7ba 4 a
Other (Describe in Part XIII.)b 4 b
c Add lines 4a and 4b 4 c
5 5Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.)
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return.
Complete if the organization answered ’Yes’ on Form 990, Part IV, line 12a.
Total expenses and losses per audited financial statements1 1
Amounts included on line 1 but not on Form 990, Part IX, line 25:2
Donated services and use of facilitiesa 2 a
Prior year adjustmentsb 2 b
c Other losses 2 c
Other (Describe in Part XIII.)d 2 d
e Add lines 2a through 2d 2 e
Subtract line 2e from line 13 3
Amounts included on Form 990, Part IX, line 25, but not on line 1:4
a Investment expenses not included on Form 990, Part VIII, line 7b 4 a
b Other (Describe in Part XIII.) 4 b
c Add lines 4a and 4b 4 c
5 5Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.)
Supplemental Information.Part XIII
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Schedule D (Form 990) 2015BAA
TEEA3304 06/03/15
Independent Animal Rescue Inc. 56-1951483
296,331.
296,331.
296,331.
293,067.
293,067.
293,067.
OMB No. 1545-0047Supplemental Information Regarding Fundraising or Gaming ActivitiesSCHEDULE G Complete if the organization answered ’Yes’ on Form 990, Part IV, lines 17, 18, or 19, or if the(Form 990 or 990-EZ) 2015organization entered more than $15,000 on Form 990-EZ, line 6a.
G Attach to Form 990 or Form 990-EZ. Open to Public Department of the Treasury
InspectionG Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.Internal Revenue Service
Name of the organization Employer identification number
Fundraising Activities. Complete if the organization answered ’Yes’ on Form 990, Part IV, line 17.Part I Form 990-EZ filers are not required to complete this part.
Indicate whether the organization raised funds through any of the following activities. Check all that apply.1
Mail solicitations Solicitation of non-government grantsa e
Internet and email solicitations Solicitation of government grantsb f
Phone solicitations Special fundraising eventsc g
In-person solicitationsd
2 a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees or keyYes Noemployees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
If ’Yes,’ list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to bebcompensated at least $5,000 by the organization.
(i) Name and address of individual (ii) Activity (iv) Gross receipts (v) Amount paid to (vi) Amount paid to(iii) Did fundraiseror entity (fundraiser) from activity (or retained by) (or retained by)have custody or control
organizationfundraiser listed inof contributions?column (i)
Yes No
1
2
3
4
5
6
7
8
9
10
GTotal
3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
Schedule G (Form 990 or 990-EZ) 2015BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.TEEA3701 12/02/15
Independent Animal Rescue Inc. 56-1951483
Schedule G (Form 990 or 990-EZ) 2015 Page 2
Fundraising Events. Complete if the organization answered ’Yes’ on Form 990, Part IV, line 18, or reportedPart IImore than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b.List events with gross receipts greater than $5,000.
(d) Total events(a) Event #1 (b) Event #2 (c) Other events(add column (a)
through column (c))R (event type) (event type) (total number)EVE
Gross receipts1NUE
Less: Contributions2
Gross income (line 1 minus line 2)3
Cash prizes4
Noncash prizes5DI
Rent/facility costs6RECT Food and beverages7
EX Entertainment8PEN
Other direct expenses9SES
GDirect expense summary. Add lines 4 through 9 in column (d)10
GNet income summary. Subtract line 10 from line 3, column (d)11
Gaming. Complete if the organization answered ’Yes’ on Form 990, Part IV, line 19, or reported more thanPart III$15,000 on Form 990-EZ, line 6a.
(b) Pull tabs/Instant (d) Total gaming(a) Bingo (c) Other gamingR bingo/progressive (add column (a)E
bingo through column (c))VENUE
Gross revenue1
Cash prizes2E
D XI P Noncash prizes3R EE NC ST E Rent/facility costs4
S
Other direct expenses5
% % %Yes Yes Yes
Volunteer labor6 No No No
GDirect expense summary. Add lines 2 through 5 in column (d)7
GNet gaming income summary. Subtract line 7 from line 1, column (d)8
Enter the state(s) in which the organization conducts gaming activities:9
Is the organization licensed to conduct gaming activities in each of these states?a Yes No
If ’No,’ explain:b
Were any of the organization’s gaming licenses revoked, suspended or terminated during the tax year?10a Yes No
If ’Yes,’ explain:b
TEEA3702 06/02/15 Schedule G (Form 990 or 990-EZ) 2015BAA
Independent Animal Rescue Inc. 56-1951483
Auction Great Human Race NONE
40,882. 21,371. 62,253.
40,882. 21,371. 62,253.
1,600. 1,600.
535. 535.
4,511. 4,511.
6,646.
55,607.
Schedule G (Form 990 or 990-EZ) 2015 Page 3
Does the organization conduct gaming activities with nonmembers?11 Yes No
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity formed to12administer charitable gaming? Yes No
Indicate the percentage of gaming activity conducted in:13
%The organization’s facilitya 13a
%An outside facilityb 13b
Enter the name and address of the person who prepares the organization’s gaming/special events books and records:14
GName
GAddress
Does the organization have a contract with a third party from whom the organization receives gaming revenue?15a Yes No
G $ and the amountIf ’Yes,’ enter the amount of gaming revenue received by the organization b
G $of gaming revenue retained by the third party .
If ’Yes,’ enter name and address of the third party:c
GName
GAddress
Gaming manager information:16
GName
G $Gaming manager compensation
GDescription of services provided
Director/officer Employee Independent contractor
Mandatory distributions17
Is the organization required under state law to make charitable distributions from the gaming proceeds to retain theastate gaming license? Yes No
Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in theb
G $organization’s own exempt activities during the tax year
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); Part IVand Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information (see instructions).
TEEA3703 06/02/15 Schedule G (Form 990 or 990-EZ) 2015BAA
Independent Animal Rescue Inc. 56-1951483
OMB No. 1545-0047Supplemental Information to Form 990 or 990-EZSCHEDULE O(Form 990 or 990-EZ) Complete to provide information for responses to specific questions on 2015Form 990 or 990-EZ or to provide any additional information.
G Attach to Form 990 or 990-EZ.Open to Public
G Information about Schedule O (Form 990 or 990-EZ) and its instructions is Department of the Treasury InspectionInternal Revenue Service at www.irs.gov/form990.
Name of the organization Employer identification number
TEEA4901 10/12/15 Schedule O (Form 990 or 990-EZ) (2015)BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Independent Animal Rescue Inc. 56-1951483
Pt VI, Line 11b Form 990 is reviewed by the Board of Directors prior to its filing.
Pt VI, Line 12c
Conflict of Interest Policy is reviewed and monitored by the Board of
Directors through periodic Board meetings.
Pt VI, Line 19
Tax returns and audited financial statements are made available to the
public upon request to the organization’s primary office.
Pt VI, Line 15a
No compensation is paid. The organization’s work-force is made up
entirely of volunteers.
Pt VI, Line 2 Alan Dow (president) and Mary Dow (Director) are married to each other.
Pt VI, Line 4
The By-Laws were amended to increase the maximum number of directors
from nine (9) to ten (10).
OMB No. 1545-0047Schedule B(Form 990, 990-EZ, Schedule of Contributorsor 990-PF) 2015
G Attach to Form 990, Form 990-EZ, or Form 990-PF.Department of the Treasury Internal Revenue Service G Information about Schedule B (Form 990, 990-EZ, 990-PF) and its instructions is at www.irs.gov/form990.
Name of the organization Employer identification number
Organization type (check one):
Filers of: Section:
Form 990 or 990-EZ 501(c)( ) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation
527 political organization
Form 990-PF 501(c)(3) exempt private foundation
4947(a)(1) nonexempt charitable trust treated as a private foundation
501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor’s total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33-1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than
$1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because
$it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990, 990-EZ, or990-PF), but it must answer ’No’ on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF.
TEEA0701 10/27/15
Independent Animal Rescue Inc. 56-1951483
X 3
X
Page ofSchedule B (Form 990, 990-EZ, or 990-PF) (2015) of Part I
Name of organization Employer identification number
Part I (see instructions). Use duplicate copies of Part I if additional space is needed.Contributors
(a) (b) (c) (d)Number Name, address, and ZIP + 4 Total Type of contribution
contributions
Person
Payroll
$ Noncash
(Complete Part II fornoncash contributions.)
(a) (b) (c) (d)Number Name, address, and ZIP + 4 Total Type of contribution
contributions
Person
Payroll
$ Noncash
(Complete Part II fornoncash contributions.)
(a) (b) (c) (d)Number Name, address, and ZIP + 4 Total Type of contribution
contributions
Person
Payroll
$ Noncash
(Complete Part II fornoncash contributions.)
(a) (b) (c) (d)Number Name, address, and ZIP + 4 Total Type of contribution
contributions
Person
Payroll
$ Noncash
(Complete Part II fornoncash contributions.)
(a) (b) (c) (d)Number Name, address, and ZIP + 4 Total Type of contribution
contributions
Person
Payroll
$ Noncash
(Complete Part II fornoncash contributions.)
(a) (b) (c) (d)Number Name, address, and ZIP + 4 Total Type of contribution
contributions
Person
Payroll
$ Noncash
(Complete Part II fornoncash contributions.)
TEEA0702 10/12/15 Schedule B (Form 990, 990-EZ, or 990-PF) (2015)BAA
1 1
Independent Animal Rescue Inc. 56-1951483
1 State Employees Combine CampaignX
875 Walnut Street, Ste. 150-A 11,442.
Cary NC 27511
2 Petco FoundationX
9125 Rehco Road 6,862.
San Diego CA 92121
3 The Elizabeth Ann McCracken Revocable TrustX
1817 Mystic Drive 15,000.
Durham NC 27712
4 Mary Goddard Pickens FoundationX
3004 Cool Spring Drive 12,000.
Chapel Hill NC 27514
5 Blue Cross Blue Shield of NCX
1965 Ivy Creek Blvd 12,400.
Durham NC 27707
990-EZ, 990, 990-T and 990-PFInformation Worksheet 2015
Part I ' Identifying Information
Employer Identification Number
Name
Doing Business As
Address Room/Suite
City State ZIP Code
Province/State Foreign Postal Code
Foreign Code Foreign Country
Telephone Number Extension
Fax E-Mail Address
Eligible for hurricane tax relief legislation benefits, check here
Part II ' Type of Return
Form 990-EZ only Form 990-EZ with Form 990-T
Form 990 only Form 990 with Form 990-T
Form 990-PF only Form 990-PF with Form 990-T
Form 990-T only Form 990-N (gross receipts $50,000 or less) for Electronic Filing only
QuickBooks Import Users & 990 to 990-EZ Data Transfer Option: Check if you’re filing the EZ & want
990 imported data copied to the EZ OR for those not importing from QuickBooks who transferred from prior
year 990 and now qualify to file the EZ this year, check this box to transfer 990 data to the EZ.
IMPORTANT
Before transferring data from Form 990 to Form 990-EZ , refer to "How to transfer data from
filing Form 990 to 990-EZ" listed above in the Most Common Support Questions or Tax Help for this line.
Part III ' Type of Organization
501(c) Corporation/Association (subsection number) 220(e) Trust
501(c) Trust (subsection number) 408A Trust
4947(a)(1) Trust 529(a) Corporation
408(e) Trust 529(a) Trust
401(a) Trust 530(a) Trust
Other (describe) Corporation/Association 527 Organization
Or Trust 501(c) Association
Part IV ' Tax Year and Filing Information
Calendar year
Fiscal year ' Ending month
Short year ' Beginning date Ending date
Check this box if the organization is enrolled in the Electronic Federal Tax Payment System (EFTPS)
56-1951483
Independent Animal Rescue Inc.
c/o Alan Dow, PO Box 14232
Durham NC 27709
(919) 403-2221
X
X 3
X 6
X
Page 2
Part V ' 2015 Estimated Taxes Paid
Check this box if the organization is a private foundation
Form 990-T Form 990-PF
Amount of 2014 overpayment credited to 2015 estimated tax
Form 990-T Form 990-PF
Due Date Amount Date Amount
Payment Quarters Date Paid Paid Paid Paid
1st Quarter Payment
2nd Quarter Payment
3rd Quarter Payment
4th Quarter Payment
Additional Payment 1
Additional Payment 2
Additional Payment 3
Additional Payment 4
Part VI ' Electronic Filing Information
IMPORTANT: Do not use the Miscellaneous Statement or Additional Information if filing Form 990 or
Form 990-EZ. These statements will not be transmitted with the return. Use Schedule O or the applicable
Supplemental Information for the appropriate Schedule.
Electronic Filing:
File the federal return electronically
File the state(s) electronically
* Select the state or states to file electronically. (Multiple states can be entered)
State(s) *
File Form 114 Report of Foreign Bank and Financial Accounts (FBAR) electronically
Practitioner PIN program:
Sign this return electronically using the Practitioner PIN
ERO entered PIN
Officer’s PIN (enter any 5 numbers)
Date PIN entered
Information required for Electronic Filing:
Officer’s Name
QuickZoom to the Electronic Filing Information Worksheet
Electronic Filing of Extensions:
Check this box to file Form 8868 (application for extension of time to file return) electronically
Electronic Filing of Amended Return:
Check this box to file amended return electronically
Check this box to file the state and/or city amended return(s) electronically
* Select the state and/or city amended return(s) to file electronically.
Independent Animal Rescue Inc. 56-1951483
X
X
X
51483
11/01/2016
Alan Dow
10/15/15
12/15/15
03/15/16
06/15/16
State(s) *
File Amended Form 114 Report of Foreign Bank and Financial Accounts (FBAR) electronically
Part VII ' Electronic Funds Withdrawal Information (Form 990PF filers only)
Yes No
Use electronic funds withdrawal of federal balance due (EF only)?
Use electronic funds withdrawal of Form 8868 balance due (EF only)?
Use electronic funds withdrawal of amended return balance due (EF only)?
If any options selected above, enter information below, (Review transferred information for accuracy)
Bank Information
Name of Financial Institution (optional)
Check the appropriate box Checking Savings
Routing number
Account number
Page 3
Payment Information
Enter the payment date to withdraw tax payment
Balance due amount from this return
Enter an amount to withdraw tax payment
If partial payment is made, the remaining balance due
Payment date for amended returns
Balance due amount for amended returns
Part VIII ' Information for Client Letter
Form 990-EZ or
Form 990 Form 990-PF Form 990-T
Extended Due Date
Letter Salutation
Part IX ' Return Preparer
Enter preparer code from Firm/Preparer Info (See Help)
QuickZoom to Firm/Preparer Info
QuickZoom to Form 990-EZ, Pages 1 through 4
QuickZoom to Form 990, Page 1
QuickZoom to Form 990-PF, Page 1
QuickZoom to Form 990-T, Page 1
QuickZoom to Form 990-N, e-PostCard
QuickZoom to Client Status
teew0101.SCR 02/18/16
Independent Animal Rescue Inc. 56-1951483
103
IRS e-file Signature Authorization for an Exempt Organization OMB No. 1545-1878Form 8879-EO
For calendar year 2015, or fiscal year beginning , 2015, and ending , 20
G Do not send to the IRS. Keep for your records. 2015Department of the Treasury
G Information about Form 8879-EO and its instructions is at www.irs.gov/form8879eo.Internal Revenue Service
Name of exempt organization Employer identification number
Name and title of officer
Type of Return and Return Information (Whole Dollars Only)Part ICheck the box for the return for which you are using this Form 8879-EO and enter the applicable amount, if any, from the return. If you check the box on line 1a, 2a, 3a, 4a, or 5a, below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, or 5b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than 1 line in Part I.
Form 990 check here Total revenue, if any (Form 990, Part VIII, column (A), line 12)1 a b 1 bG
Form 990-EZ check here Total revenue, if any (Form 990-EZ, line 9)2 a b 2 bG
Form 1120-POL check here Total tax (Form 1120-POL, line 22)3 a b 3 bG
Form 990-PF check here Tax based on investment income (Form 990-PF, Part VI, line 5)4 a b 4 bG
Form 8868 check here Balance Due (Form 8868, Part I, line 3c or Part II, line 8c)5 a b 5 bG
Part II Declaration and Signature Authorization of OfficerUnder penalties of perjury, I declare that I am an officer of the above organization and that I have examined a copy of the organization’s 2015 electronic return and accompanying schedules and statements and to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the organization’s electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the organization’s return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the organization’s federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the organization’s electronic return and, if applicable, the organization’s consent to electronic funds withdrawal.
Officer’s PIN: check one box only
I authorize to enter my PIN as my signatureERO firm name Enter five numbers, but
do not enter all zeros
on the organization’s tax year 2015 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return’s disclosure consent screen.
As an officer of the organization, I will enter my PIN as my signature on the organization’s tax year 2015 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return’s disclosure consent screen.
Officer’s signature DateG G
Part III Certification and Authentication
ERO’s EFIN/PIN. Enter your six-digit electronic filing identificationnumber (EFIN) followed by your five-digit self-selected PIN
do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2015 electronically filed return for the organization indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns.
ERO’s signature DateG G
ERO Must Retain This Form ' See Instructions Do Not Submit This Form To the IRS Unless Requested To Do So
Form 8879-EO (2015)BAA For Paperwork Reduction Act Notice, see instructions.
TEEA7401 10/22/15
Jul 1 Jun 30 2016
Independent Animal Rescue Inc. 56-1951483
Alan Dow President
X 296,331.
X Vivian Wan 51483
11/10/2016
56541144438
11/09/2016
IRS e-file Authentication Statement 2015G Keep for your records
Name(s) Shown on Return Employer ID Number
A ' Practitioner PIN Authorization
Please indicate how the taxpayer(s) PIN(s) are entered into the program.
Officer(s) entered PIN(s)
ERO entered Officer’s PIN
B ' Signature of Electronic Return Originator
ERO Declaration:
I declare that the information contained in this electronic tax return is the information furnished to me by the Corporation. If the Exempt Organization furnished me a completed tax return, I declare that the information contained in this electronic tax return is identical to that contained in the return provided by the Exempt Organization. If the furnished return was signed by a paid preparer, I declare I have entered the paid preparer’s identifying information in the appropriate portion of this electronic return. If I am the paid preparer, under the penalties of perjury, I declare that I have examined this electronic return, and to the best of my knowledge and belief, it is true, correct, and complete. This declaration is based on all information of which I have any knowledge.
I am signing this Tax Return by entering my PIN below.
EFIN Self-Select PINERO’s PIN (EFIN followed by any 5 numbers)
C ' Signature of Officer
Perjury Statement:
Under penalties of perjury, I declare that I am an officer of the above Exempt Organization and that I have examined a copy of the Exempt Organization’s 2015 electronic income tax return and accompanying schedules and statements and to the best of my knowledge and belief, it is true, correct, and complete.
Consent to Disclosure:
I consent to allow my electronic return originator (ERO), transmitter, or intermediate service provider to send the Exempt Organization’s return to the IRS and to receive from the IRS (a) and acknowledgement of receipt or reason for rejection of the transmission, (b) an indication of any refund offset, (c) the reason for any delay in processing the return or refund, and (d) the date of any refund.
Electronic Funds Withdrawal Consent (if applicable):
I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the Exempt Organization’s Federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institution involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment.
I am signing this Tax Return and Electronic Funds Withdrawal Consent, if applicable, by entering my self-selected PIN below.
Officer’s PIN
Date
TEEW2701 05/14/15
Independent Animal Rescue Inc. 56-1951483
X
565411 44438
51483
11/01/2016
Electronic Filing Information Worksheet 2015G Keep for your records
Name(s) shown on return Identifying number
Part I ' State Electronic Filing:
Check this box to force state only filing for all states selected to be filed electronically
Part II ' Electronic Return Originator Information
The ERO Information below will automatically calculate based on the preparer code entered on the return.
For returns that are prepared as a "Non-Paid Preparer" (XNP) or "Self-Prepared" (XSP)enter the EFIN for the ERO that is responsible for this return
For returns that are marked as a "Non-Paid Preparer" (XNP) or "Self-Prepared" (XSP) enter a PIN for the ERO that is responsible for filing returnERO Name ERO Electronic Filers Identification Number (EFIN)
ERO Address ERO Employer Identification Number
City State ZIP Code ERO Social Security Number or PTIN
Country
Part III ' Paid Preparer Information
Firm Name Preparer Social Security Number or PTIN
Preparer Name Employer Identification Number
Address Phone Number Fax Number
City State ZIP Code
Country Preparer E-mail Address
Part IV ' Amended Returns
Independent Animal Rescue Inc. 56-1951483
565411
Vivian Wan 565411
2054 Kildaire Farm Road, Box 242 26-1444438
Cary NC 27518
Vivian Wan CPA, PA P00967748
Vivian Wan 26-1444438
2054 Kildaire Farm Road, Box 242 (919) 308-7202 (919) 629-8865
Cary NC 27518
Enter the payment date to withdraw tax paymentAmount you are paying with the amended return
Check this box to file another federal amended return electronicallyFile another Amended Form 114 Report of Foreign Bank and Financial Accounts (FBAR) electronically
Check this box to file another state and/or city amended return electronically* Select the state and/or city amended return(s) to file electronically.
State/City *
Part V ' Name Control
Name Control, enter here to override defaultcpcv1701.SCR 10/06/10
INDE
California State Exempt
Schedule O (Form 990), Supplemental Information to Form 990
Form 990, Page 2, Part III, Line 1 (continued)
Briefly describe the organization’s mission:
area with veterinarian services, food and kennel care on a temporary basis until animals
are adopted into a permanent home. IAR’s work force is made up entirely of volunteers.
Schedule O (Form 990 or 990-EZ), Supplemental Information to Form 990 or 990-EZ
Form 990, Page 10, Line 11g Other Service Fees (continued)
(A) (B) (C) (D)
Description Total Program Management Fundraising
services and general
Pet Medical Services
Dog Behavioral Training
Shelter Pull Fees
Pet Boarding Fees
Commissions & Fees
208,636.
5,958.
237.
8,776.
2,689.
208,636.
5,958.
237.
8,776.
594.
0.
0.
0.
0.
2,095.
0.
0.
0.
0.
0.
Independent Animal Rescue Inc. 56-1951483 1
Supporting Statement of:
Description Amount
Form 990 p 10/Line 13 col (C)
Communication
Dues & Subscription
Education Material Supplies
888.
275.
63.
1,226.Total
Supporting Statement of:
Description Amount
Form 990 p 11/Line 11, column (A)
Beneficial Interest in Assets Held by TCF 29,946.
29,946.Total
Supporting Statement of:
Description Amount
Sch D, page 2/Other col (a)
Software
Website
1,223.
1,672.
2,895.Total
Independent Animal Rescue Inc. 56-1951483 2
Smart Worksheet for Officers, Directors, Trustees, Key Employees and
Highest Compensated Employees
Note: Enter all the information below for Part VII, Section A. The first 14 entries will be placed on the
appropriate lines on page 7. , The next 10 entries will be placed on the appropriate lines on page 8
If more than 25 items are entered, the remainder will be placed on continuation sheets for Part VII.
(A) (B) (C) (D) (E) (F)
Name and Title Ck if Avg Position Reportable Est amt of
B hrs/wk (do not check more than compn from oth compn
u (list one box, unless person is the organi- from org and
s hrs for both an officer and a zation (W-2/ related orgs
i related director/trustee) 1099-MISC)
n orgs C1 - Indiv trustee or dir
e below C2 - Institutional trustee
s dotted C3 - Officer
s line) C4 - Key employee
C5 - Highest compensated
employee
C6 - Former Reportable compn
from related orgs
C1 C2 C3 C4 C5 C6 (W-2/1099-MISC)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Alan Dow
Debra Eveland
Miriam Markfield
Shelly Baum
Mary Dow
Denise Heflin
Elaine Bardes
Amanda Crooks
Hilary Cooper
Jason Wakefield
30.00
40.00
5.00
20.00
40.00
30.00
30.00
25.00
20.00
President
Vice President
Secretary
Treasurer
Director
Director
Director
Director
Director
Director 20.00
X
X
X
X
X
X
X
X
X
X
X
X
X
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
Form 990 p 7: Part VII Compensation of Officers etc.
Independent Animal Rescue Inc. 56-1951483
Line 22 - Depreciation, Depletion, and Amortization Smart Worksheet
To enter assets, QuickZoom to Asset Entry Worksheet O
To view a calculated report of all depreciation information for Form 990,
QuickZoom to the Depreciation/Amortization Report O
QuickZoom to Form 4562 for Form 990 O
The following items carry to line 22 below:
(A) (B) (C) (D)
Description Total Program Management Fundraising
services and general
A Depreciation
B Depletion
C Amortization
1,940. 1,940. 0. 0.
Form 990 p 10: Part IX Statement of Functional Expenses
General Information Smart Worksheet
A Description for this copy of Schedule B, Part I Copy 1
Sch. B, page 2 (Copy 1): Contributors
Independent Animal Rescue Inc. 56-1951483